WA Annual Report Summary 2015/16

Part 2: The National Scheme at work in Western Australia

WA: data snapshot

Five insights for 2015/16

  • As of 30 June 2016, there were 67,384 registered health practitioners with a principal place of practice in WA.
  • WA is the principal place of practice for 16.7% of all registered Aboriginal and Torres Strait Islander health practitioners in Australia.
  • 6,643 new applications were received for registration in WA, a decrease of 0.8% from the previous year.
  • Complaints about practitioners in WA decreased by 5.3% year on year, to 718 new notifications received.
  • Of the 1,348 new statutory offence complaints received nationally, there were 112 made about practitioners in WA.

Background

Data in the WA jurisdiction summary are drawn from the 2015/16 annual report published by AHPRA and the National Boards. WA data have been extracted from national source data to highlight the work we have undertaken over the past year to keep the public safe. All data were correct as at 30 June 2016.

Throughout, national figures are also provided to show how WA compares with the national average. Where possible, we have included the previous year’s data for comparison.

In the following pages, you will find registration data, such as the number of practitioners in each profession whose principal place of practice (PPP) is in WA, including a breakdown by registration type, registration division (for professions with divisions), information about specialities (for dental, medical and podiatry practitioners), and endorsements or notations held. A gender breakdown of practitioners by profession is also included.

Notifications data1 (about complaints lodged) are also included, with details of notifications received and closed during the year, as well as those that remained open at the end of the reporting year. Details of mandatory reports received and immediate actions taken are included, as well as information on the rate of notifications and mandatory notifications in the jurisdiction.

Information on statutory offence matters, tribunal and panel hearings, active monitoring cases and criminal history checks is also included.

To view the 2015/16 AHPRA annual report in full, along with national, profession-specific data and other state and territories’ data, visit 2015/16 annual report of AHPRA and the National Boards website.

In early 2017, each of the 14 national boards will publish a summary report outlining their profession’s performance in 2015/16.

Note:

  1. In general, national data about notifications include data from the Health Professional Councils Authority (HPCA) in NSW, except when categories used differ between NSW and the other states and territories.

Registration in WA

Tables 1– 8 provide details of registered health practitioners with a principal place of practice in WA. At 30 June 2016, the number of registered health practitioners in WA was 67,384, an increase of 1,796 (2.7%) from 2014/15. This jurisdiction represents 10.2% of all registered health practitioners in Australia.

At a profession level, the proportion of registrants in WA ranged from 16.7% of Aboriginal and Torres Strait Islander health practitioners to 3% of osteopaths nationally. See Table 1.

Data also showed that in 2015/16 WA had:

  • 9.7% of registered health practitioners with a recognised speciality nationally, and
  • 11.4% of health practitioners with a recognised endorsement or notation nationally, which permits an expanded scope of practice within their profession.

In 2015/16, applications received for registration in WA decreased by 0.8%, with 6,643 new applications. This equates to 10.2% of new applications received nationally during the year. Details of registration applications received, with a breakdown of profession and registration type, are provided in Table 7.

Table 1: Registered practitioners with WA as the principal place of practice, by profession1
ProfessionWANational total4% of national total
Aboriginal and Torres Strait Islander health practitioner9858716.7%
Chinese medicine practitioner2544,7625.3%
Chiropractor6025,16711.7%
Dental Practitioner2,54821,74111.7%
Medical practitioner10,756107,17910.0%
Medical Radiation practitioner1,32515,3038.7%
Midwife3854,1229.3%
Nurse34,664346,38710.0%
Nurse and midwife22,96829,69910.0%
Occupational therapist2,62618,30414.3%
Optometrist4175,1428.1%
Osteopath622,0943.0%
Pharmacist3,16329,71710.6%
Physiotherapist3,47528,85512.0%
Podiatry Practitioner4424,6559.5%
Psychologist3,59933,90710.6%
Total 2015/1667,384657,62110.2%
Total 2014/1565,588637,21810.3%
Population as a proportion of national population32,603,90023,940,30010.9%

Note:

  1. Data are based on registered practitioners as at 30 June 2016.
  2. Practitioners who hold dual registration as both a nurse and a midwife.
  3. Based on Australian Bureau of Statistics demographics statistics as at 30 December 2015.
  4. National total also includes registrants who have no specified principal place of practice.
Table 2: Registered practitioners with WA as the principal place of practice, by registration type
Profession/registration typeWANational total% of national total
Aboriginal and Torres Strait Islander Health Practitioner9858716.7%
Aboriginal and Torres Strait Islander Health Practitioner: General9758516.6%
Aboriginal and Torres Strait Islander Health Practitioner: Non-practising1250.0%
Chinese Medicine Practitioner2544,7625.3%
Chinese Medicine Practitioner: General2474,5355.4%
Chinese Medicine Practitioner: Non-practising72273.1%
Chiropractor6025,16711.7%
Chiropractor: General5884,87512.1%
Chiropractor: Non-practising142924.8%
Dental Practitioner2,54821,74111.7%
Dental Practitioner: General2,31719,45811.9%
Dental Practitioner: General and Non-practising1010.0%
Dental Practitioner: General and Specialist1731,63210.6%
Dental Practitioner: Limited2742.7%
Dental Practitioner: Non-practising525469.5%
Dental Practitioner: Specialist43013.3%
Medical Practitioner10,756107,17910.0%
Medical Practitioner: General3,71936,95310.1%
Medical Practitioner: General (Teaching and Assessing)2365.6%
Medical Practitioner: General (Teaching and Assessing) and Specialist020.0%
Medical Practitioner: General and Specialist4,42750,6228.7%
Medical Practitioner: Limited3742,70513.8%
Medical Practitioner: Non-practising2052,6557.7%
Medical Practitioner: Provisional6875,40812.7%
Medical Practitioner: Specialist1,3428,79815.3%
Medical Radiation Practitioner1,32515,3038.7%
Medical Radiation Practitioner: General1,30814,5419.0%
Medical Radiation Practitioner: Limited060.0%
Medical Radiation Practitioner: Non-practising122345.1%
Medical Radiation Practitioner: Provisional55221.0%
Midwife3854,1229.3%
Midwife: General3784,0509.3%
Midwife: Non-practising7729.7%
Nurse34,664346,38710.0%
Nurse: General34,215341,07110.0%
Nurse: General and Non-practising12258.0%
Nurse: Non-practising4265,1618.3%
Nurse: Provisional2113016.2%
Nurse and Midwife2,96829,69910.0%
Nurse and Midwife: General2,84427,68010.3%
Nurse and Midwife: General and Non-practising2771,3375.8%
Nurse and Midwife: General and Provisional060.0%
Nurse and Midwife: Non-practising476717.0%
Nurse and Midwife: Provisional050.0%
Occupational Therapist2,62618,30414.3%
Occupational Therapist: General2,50717,55214.3%
Occupational Therapist: Limited96913.0%
Occupational Therapist: Non-practising10664316.5%
Occupational Therapist: Provisional44010.0%
Optometrist4175,1428.1%
Optometrist: General4074,9778.2%
Optometrist: Limited1520.0%
Optometrist: Non-practising91605.6%
Osteopath622,0943.0%
Osteopath: General602,0203.0%
Osteopath: Non-practising1661.5%
Osteopath: Provisional31812.5%
Pharmacist3,16329,71710.6%
Pharmacist: General2,96326,94811.0%
Pharmacist: Limited1714.3%
Pharmacist: Non-practising541,0355.2%
Pharmacist: Provisional1451,7278.4%
Physiotherapist3,47528,85512.0%
Physiotherapist: General3,36927,66712.2%
Physiotherapist: Limited3834611.0%
Physiotherapist: Non-practising688428.1%
Podiatry Practitioner4424,6559.5%
Podiatry Practitioner: General4214,5249.3%
Podiatry Practitioner: General and Specialist173056.7%
Podiatry Practitioner: Non-practising41014.0%
Psychologist3,59933,90710.6%
Psychologist: General2,84127,62710.3%
Psychologist: Non-practising1741,65810.5%
Psychologist: Provisional5844,62212.6%
Total67,384657,62110.2%

Note:

  1. Practitioners holding general registration in one division and non-practising registration in another division.
  2. Practitioners holding general registration in one profession and non-practising registration in the other profession.
  3. The Osteopathy Board introduced a category of provisional registration in 2013/14.
Table 3: Registered practitioners who hold an endorsement or notation with WA as the principal place of practice
Profession/endorsement or notationWANational total% of national total
Chiropractor0320.0%
Acupuncture0320.0%
Dental Practitioner9959.5%
Area of Practice9959.5%
Medical practitioner405737.0%
Acupuncture405737.0%
Midwife14734213.7%
Eligible Midwife28918.8%
Midwife Practitioner010.0%
Scheduled Medicines3925015.6%
Nurse12982,80410.6%
Eligible Midwife33928913.5%
Nurse Practitioner2381,41816.8%
Scheduled Medicines211,0971.9%
Optometrist1892,3877.9%
Scheduled Medicines1892,3877.9%
Osteopath020.0%
Acupuncture020.0%
Physiotherapist080.0%
Acupuncture080.0%
Podiatry Practitioner277436.5%
Scheduled Medicines277436.5%
Psychologist1,39011,16712.4%
Area of Practice1,39011,16712.4%
Total2,00017,48411.4%

Note:

  1. Nursing and midwifery registrants may hold dual nursing and midwifery registration and may have endorsements against each registration. Nursing and midwifery registrants may hold one or more endorsement/notation in each profession.
  2. Holds notation of Eligible Midwife.
  3. Holds dual registration as a nurse and a midwife, and holds notation of Eligible Midwife.
Table 4: Registered practitioners with WA as the principal place of practice, by profession and gender
Profession/genderWANational total% of national total
Aboriginal and Torres Strait Islander Health Practitioner Total9858716.7%
Aboriginal and Torres Strait Islander Health Practitioner: Female7845217.3%
Aboriginal and Torres Strait Islander Health Practitioner: Male2013514.8%
Chinese Medicine Practitioner Total2544,7625.3%
Chinese Medicine Practitioner: Female1552,6026.0%
Chinese Medicine Practitioner: Male992,1604.6%
Chiropractor Total6025,16711.7%
Chiropractor: Female2581,98913.0%
Chiropractor: Male3443,17810.8%
Dental Practitioner Total2,54821,74111.7%
Dental Practitioner: Female1,44910,73713.5%
Dental Practitioner: Male1,09911,00410.0%
Medical Practitioner Total10,756107,17910.0%
Medical Practitioner: Female4,56044,49210.2%
Medical Practitioner: Male6,19662,6879.9%
Medical Radiation Practitioner Total1,32515,3038.7%
Medical Radiation Practitioner: Female91210,3698.8%
Medical Radiation Practitioner: Male4134,9348.4%
Midwife Total3854,1229.3%
Midwife: Female3854,1079.4%
Midwife: Male0150.0%
Nurse Total34,664346,38710.0%
Nurse: Female31,436306,45010.3%
Nurse: Male3,22839,9378.1%
Nurse and Midwife Total2,96829,69910.0%
Nurse and Midwife: Female2,92529,17710.0%
Nurse and Midwife: Male435228.2%
Occupational Therapist Total2,62618,30414.3%
Occupational Therapist: Female2,41716,74914.4%
Occupational Therapist: Male2091,55513.4%
Optometrist Total4175,1428.1%
Optometrist: Female1872,6587.0%
Optometrist: Male2302,4849.3%
Osteopath Total622,0943.0%
Osteopath: Female321,1372.8%
Osteopath: Male309573.1%
Pharmacist Total3,16329,71710.6%
Pharmacist: Female1,99018,24310.9%
Pharmacist: Male1,17311,47410.2%
Physiotherapist Total3,47528,85512.0%
Physiotherapist: Female2,47719,63912.6%
Physiotherapist: Male9989,21610.8%
Podiatry Practitioner Total4424,6559.5%
Podiatry Practitioner: Female2722,8229.6%
Podiatry Practitioner: Male1701,8339.3%
Psychologist Total3,59933,90710.6%
Psychologist: Female2,87626,90910.7%
Psychologist: Male7236,99810.3%
Total 67,384657,62110.2%
Table 5: Registered Chinese medicine, dental and medical radiation practitioners, and nurses and midwives with WA as the principal place of practice, by division
Profession/divisionWANational total% of national total
Chinese Medicine Practitioner2544,7625.3%
Chinese Medicine Practitioner: Acupuncturist951,7225.5%
Chinese Medicine Practitioner: Acupuncturist and Chinese Herbal Dispenser1020.0%
Chinese Medicine Practitioner: Acupuncturist and Chinese Herbal Dispenser and Chinese Herbal Medicine Practitioner1347794.4%
Chinese Medicine Practitioner: Acupuncturist and Chinese Herbal Medicine Practitioner11232,1475.7%
Chinese Medicine Practitioner: Chinese Herbal Dispenser2454.4%
Chinese Medicine Practitioner: Chinese Herbal Dispenser and Chinese Herbal Medicine Practitioner10170.0%
Chinese Medicine Practitioner: Chinese Herbal Medicine Practitioner0500.0%
Dental Practitioner2,54821,74111.7%
Dental Practitioner: Dental Hygienist2711,41419.2%
Dental Practitioner: Dental Hygienist and Dental Prosthetist1030.0%
Dental Practitioner: Dental Hygienist and Dental Prosthetist and Dental Therapist1020.0%
Dental Practitioner: Dental Hygienist and Dental Therapist15448011.3%
Dental Practitioner: Dental Hygienist and Dental Therapist and Dentist020.0%
Dental Practitioner: Dental Hygienist and Dental Therapist and Oral Health Therapist010.0%
Dental Practitioner: Dental Hygienist and Dentist1030.0%
Dental Practitioner: Dental Hygienist and Oral Health Therapist13650.0%
Dental Practitioner: Dental Prosthetist851,2506.8%
Dental Practitioner: Dental Prosthetist and Dental Therapist1010.0%
Dental Practitioner: Dental Prosthetist and Dentist1010.0%
Dental Practitioner: Dental Therapist2891,01628.4%
Dental Practitioner: Dental Therapist and Dentist010.0%
Dental Practitioner: Dental Therapist and Oral Health Therapist144100.0%
Dental Practitioner: Dentist1,73716,26410.7%
Dental Practitioner: Dentist and Oral Health Therapist1020.0%
Dental Practitioner: Oral Health Therapist1051,2918.1%
Medical Radiation Practitioner1,32515,3038.7%
Medical Radiation Practitioner: Diagnostic Radiographer1,07911,8409.1%
Medical Radiation Practitioner: Diagnostic Radiographer and Nuclear Medicine Technologist11147.1%
Medical Radiation Practitioner: Diagnostic Radiographer and Radiation Therapist1020.0%
Medical Radiation Practitioner: Nuclear Medicine Technologist661,0956.0%
Medical Radiation Practitioner: Radiation Therapist1792,3527.6%
Nurse34,664346,38710.0%
Nurse: Enrolled Nurse (Division 2)5,40662,9948.6%
Nurse: Enrolled Nurse (Division 2) and Registered Nurse (Division 1)15446,4658.4%
Nurse: Registered Nurse (Division 1)28,714276,92810.4%
Nurse and Midwife2,96829,69910.0%
Nurse and Midwife: Enrolled Nurse and Midwife10640.0%
Nurse and Midwife: Enrolled Nurse and Registered Nurse and Midwife1106615.2%
Nurse and Midwife: Registered Nurse and Midwife12,95829,56910.0%
Total41,759417,89210.0%

Note:

  1. Practitioners who hold dual or multiple registration.
Table 6. Health practitioners with specialties at 30 June 20161
Profession/area of specialty practiceWANational total% of national total
Dental Practitioner1801,71410.5%
Dental Practitioner: Dento-maxillofacial radiology31030.0%
Dental Practitioner: Endodontics161639.8%
Dental Practitioner: Forensic odontology52619.2%
Dental Practitioner: Oral and maxillofacial surgery2220210.9%
Dental Practitioner: Oral medicine73520.0%
Dental Practitioner: Oral pathology32412.5%
Dental Practitioner: Oral surgery1512.0%
Dental Practitioner: Orthodontics546058.9%
Dental Practitioner: Paediatric dentistry1513011.5%
Dental Practitioner: Periodontics3222314.3%
Dental Practitioner: Prosthodontics212139.9%
Dental Practitioner: Public health dentistry (Community dentistry)1166.3%
Dental Practitioner: Special needs dentistry0160.0%
Medical Practitioner6,24864,4639.7%
Medical Practitioner: Addiction medicine131687.7%
Medical Practitioner: Anaesthesia5254,78211.0%
Medical Practitioner: Dermatology445288.3%
Medical Practitioner: Emergency medicine2211,90411.6%
Medical Practitioner: General practice2,50524,47110.2%
Medical Practitioner: Intensive care medicine788569.1%
Medical Practitioner: Intensive care medicine: Paediatric intensive care medicine070.0%
Medical Practitioner: Intensive care medicine: No subspecialty declared788499.2%
Medical Practitioner: Medical administration293318.8%
Medical Practitioner: Obstetrics and gynaecology1741,9329.0%
Medical Practitioner: Obstetrics and gynaecology: Gynaecological oncology4468.7%
Medical Practitioner: Obstetrics and gynaecology: Maternal-fetal medicine54012.5%
Medical Practitioner: Obstetrics and gynaecology: Obstetrics and gynaecological ultrasound3763.9%
Medical Practitioner: Obstetrics and gynaecology: Reproductive endocrinology and infertility2543.7%
Medical Practitioner: Obstetrics and gynaecology: Urogynaecology43112.9%
Medical Practitioner: Obstetrics and gynaecology: No subspecialty declared1561,6859.3%
Medical Practitioner: Occupational and environmental medicine4530814.6%
Medical Practitioner: Ophthalmology799918.0%
Medical Practitioner: Paediatrics and child health2752,55510.8%
Medical Practitioner: Paediatrics and child health: Paediatric intensive care medicine060.0%
Medical Practitioner: Paediatrics and child health: Clinical genetics1263.8%
Medical Practitioner: Paediatrics and child health: Community child health4527.7%
Medical Practitioner: Paediatrics and child health: General paediatrics1801,8259.9%
Medical Practitioner: Paediatrics and child health: Neonatal and perinatal medicine2917416.7%
Medical Practitioner: Paediatrics and child health: Paediatric cardiology43611.1%
Medical Practitioner: Paediatrics and child health: Paediatric clinical pharmacology010.0%
Medical Practitioner: Paediatrics and child health: Paediatric emergency medicine85115.7%
Medical Practitioner: Paediatrics and child health: 43212.5%
Medical Practitioner: Paediatrics and child health: 42416.7%
Medical Practitioner: Paediatrics and child health: 1119.1%
Medical Practitioner: Paediatrics and child health: Paediatric immunology and allergy0200.0%
Medical Practitioner: Paediatrics and child health: Paediatric infectious diseases1195.3%
Medical Practitioner: Paediatrics and child health: 62722.2%
Medical Practitioner: Paediatrics and child health: Paediatric nephrology1119.1%
Medical Practitioner: Paediatrics and child health: Paediatric neurology2355.7%
Medical Practitioner: Paediatrics and child health: Paediatric palliative medicine020.0%
Medical Practitioner: Paediatrics and child health: Paediatric rehabilitation medicine1812.5%
Medical Practitioner: Paediatrics and child health: Paediatric respiratory and sleep medicine42714.8%
Medical Practitioner: Paediatrics and child health: Paediatric rheumatology31225.0%
Medical Practitioner: Paediatrics and child health: 2215614.1%
Medical Practitioner: Pain medicine3327612.0%
Medical Practitioner: Palliative medicine3231210.3%
Medical Practitioner: Pathology2362,07311.4%
Medical Practitioner: Pathology: Anatomical pathology (including cytopathology)9989211.1%
Medical Practitioner: Pathology: Chemical pathology179517.9%
Medical Practitioner: Pathology: Forensic pathology54810.4%
Medical Practitioner: Pathology: General pathology71235.7%
Medical Practitioner: Pathology: Haematology455138.8%
Medical Practitioner: Pathology: Immunology1811815.3%
Medical Practitioner: Pathology: Microbiology3623115.6%
Medical Practitioner: Pathology: No subspecialty declared95317.0%
Medical Practitioner: Physician8119,7798.3%
Medical Practitioner: Physician: Cardiology871,3136.6%
Medical Practitioner: Physician: Clinical genetics5726.9%
Medical Practitioner: Physician: Clinical pharmacology5559.1%
Medical Practitioner: Physician: Endocrinology496587.4%
Medical Practitioner: Physician: Gastroenterology and hepatology668367.9%
Medical Practitioner: Physician: General medicine1361,7857.6%
Medical Practitioner: Physician: Geriatric medicine7366111.0%
Medical Practitioner: Physician: Haematology405327.5%
Medical Practitioner: Physician: Immunology and allergy2415915.1%
Medical Practitioner: Physician: Infectious diseases344088.3%
Medical Practitioner: Physician: Medical oncology376265.9%
Medical Practitioner: Physician: Nephrology415227.9%
Medical Practitioner: Physician: Neurology445677.8%
Medical Practitioner: Physician: Nuclear medicine202617.7%
Medical Practitioner: Physician: Respiratory and sleep medicine626519.5%
Medical Practitioner: Physician: Rheumatology303658.2%
Medical Practitioner: Physician: No subspecialty declared5830818.8%
Medical Practitioner: Psychiatry3183,5658.9%
Medical Practitioner: Public health medicine434349.9%
Medical Practitioner: Radiation oncology203805.3%
Medical Practitioner: Radiology2452,36810.3%
Medical Practitioner: Radiology: Diagnostic radiology2112,02310.4%
Medical Practitioner: Radiology: Diagnostic ultrasound 40.0%
Medical Practitioner: Radiology: Nuclear medicine101865.4%
Medical Practitioner: Radiology: No subspecialty declared2415515.5%
Medical Practitioner: Rehabilitation medicine164973.2%
Medical Practitioner: Sexual health medicine71235.7%
Medical Practitioner: Sport and exercise medicine101198.4%
Medical Practitioner: Surgery4895,7118.6%
Medical Practitioner: Surgery: Cardio-thoracic surgery132016.5%
Medical Practitioner: Surgery: General surgery1471,9747.4%
Medical Practitioner: Surgery: Neurosurgery192477.7%
Medical Practitioner: Surgery: Oral and maxillofacial surgery1412311.4%
Medical Practitioner: Surgery: Orthopaedic surgery1351,3949.7%
Medical Practitioner: Surgery: Otolaryngology - head and neck surgery454989.0%
Medical Practitioner: Surgery: Paediatric surgery81037.8%
Medical Practitioner: Surgery: Plastic surgery4645010.2%
Medical Practitioner: Surgery: Urology404349.2%
Medical Practitioner: Surgery: Vascular surgery192298.3%
Medical Practitioner: Surgery: No subspecialty declared3585.2%
Podiatry Practitioner173056.7%
Podiatry Practitioner: Podiatric surgeon173056.7%
Grand Total6,44566,2079.7%

Note:

  1. The data above record the number of practitioners with registration in the specialist fields listed. Individual practitioners may be registered to practise in more than one specialist field.
Table 7: Applications received, by profession and registration type
Profession/registration typeWANational total% of national total
Aboriginal and Torres Strait Islander Health Practitioner Total6826925.3%
Aboriginal and Torres Strait Islander Health Practitioner: General6826825.4%
Aboriginal and Torres Strait Islander Health Practitioner: Non-practising010.0%
Chinese Medicine Practitioner Total387425.1%
Chinese Medicine Practitioner: General345466.2%
Chinese Medicine Practitioner: Non-practising41962.0%
Chiropractor Total5339413.5%
Chiropractor: General5034014.7%
Chiropractor: Limited030.0%
Chiropractor: Non-practising3515.9%
Dental Practitioner Total1781,53611.6%
Dental Practitioner: General1511,28011.8%
Dental Practitioner: Limited2464.3%
Dental Practitioner: Non-practising121438.4%
Dental Practitioner: Specialist136719.4%
Medical Practitioner Total1,84216,20311.4%
Medical Practitioner: General5735,28010.9%
Medical Practitioner: Limited2391,72013.9%
Medical Practitioner: Non-practising333938.4%
Medical Practitioner: Provisional6355,45311.6%
Medical Practitioner: 3623,35710.8%
Medical Radiation Practitioner Total821,7224.8%
Medical Radiation Practitioner: General741,1606.4%
Medical Radiation Practitioner: Limited060.0%
Medical Radiation Practitioner: Non-practising5826.1%
Medical Radiation Practitioner: Provisional34740.6%
Midwife Total1881,71511.0%
Midwife: General1521,40110.8%
Midwife: Non-practising3529711.8%
Midwife: Provisional1175.9%
Nurse Total2,63228,8549.1%
Nurse: General2,44927,0319.1%
Nurse: Non-practising1321,5138.7%
Nurse: Provisional5131016.5%
Occupational Therapist Total3222,20014.6%
Occupational Therapist: General2541,79914.1%
Occupational Therapist: Limited118113.6%
Occupational Therapist: Non-practising5128717.8%
Occupational Therapist: Provisional63318.2%
Optometrist Total333998.3%
Optometrist: General283657.7%
Optometrist: Limited3650.0%
Optometrist: Non-practising2287.1%
Osteopath Total52072.4%
Osteopath: General31631.8%
Osteopath: Non-practising1283.6%
Osteopath: Provisional1166.3%
Pharmacist Total3163,3249.5%
Pharmacist: General1711,62210.5%
Pharmacist: Limited52917.2%
Pharmacist: Non-practising101516.6%
Pharmacist: Provisional1301,5228.5%
Physiotherapist Total2952,50511.8%
Physiotherapist: General2442,10111.6%
Physiotherapist: Limited2824411.5%
Physiotherapist: Non-practising2316014.4%
Podiatry Practitioner Total144453.1%
Podiatry Practitioner: General114082.7%
Podiatry Practitioner: Non-practising2365.6%
Podiatry Practitioner: Specialist11100.0%
Psychologist Total5774,75912.1%
Psychologist: General1911,77310.8%
Psychologist: Non-practising7852914.7%
Psychologist: Provisional3082,45712.5%
Total 2015/166,64365,27410.2%
Total 2014/156,69561,51710.9%
Table 8: Outcome of applications for registration finalised in 2015/16
OutcomeWANational Total2% of National Total
Register5,98457,26010.5%
Register with conditions2301,71613.4%
Register in a type other than applied for1915012.7%
Register in a type other than applied for with conditions1513011.5%
Refuse application1982,7067.3%
Withdrawn3823,82310.0%
Other81914.2%
Total 2015/16 (PPP)16,83665,97610.4%

Criminal history checks

Under the National Law, applicants for initial registration must undergo criminal history checks. A common criminal history standard is used across all 14 National Boards.

Nationally, AHPRA carried out 66,698 domestic and international criminal record checks of registrants in 2015/16, an increase of 28.4% from the previous year. The increase is largely due to a new approach to checking international criminal history, which was introduced in 2014/15.

In 2015/16, there were 6,547 criminal history checks carried out for applicants with a PPP in WA. Of those, 459 resulted in disclosable court outcomes. See Table 9.

Table 10 provides an overview of cases where a criminal history check resulted in, or contributed to the imposition of conditions by a Board or undertakings given by a practitioner. There were six such cases in WA in 2015/16; three fewer than in 2014/15.

Table 9: Domestic and international criminal history checks in WA and nationally, by profession, and cases where a criminal history check resulted in, or contributed to, imposition of conditions or undertakings. State/territory1
ProfessionWA: Number of CHCs2WA: Number of DCOs3WA: % of DCOs resulting from CHCsWA: Conditions/undertakings resulting from CHCsWA: % of total national CHCs resulted in conditions/undertakingsNational 2015/16: Number of CHCs2National 2015/16: Number of DCOs3National 2015/16: % of DCOs resulting from CHCsNational 2015/16: Conditions/undertakings resulting from CHCs
Aboriginal and Torres Strait Islander Health Practitioner966769.8%1100.0%39619348.7%1
Chinese Medicine Practitioner54611.1%00.0%933606.4%0
Chiropractor10287.8%00.0%787668.4%0
Dental Practitioner212125.7%00.0%1,992964.8%1
Medical Practitioner1,191352.9%00.0%11,8912672.2%0
Medical Radiation Practitioner15853.2%00.0%1,728613.5%0
Midwife8178.6%00.0%859526.1%0
Nurse3,3542367.0%583.3%36,1401,9775.5%6
Occupational Therapist310144.5%00.0%2,288662.9%0
Optometrist2400.0%00.0%40851.2%0
Osteopath300.0%00.0%185158.1%0
Pharmacist237114.6%00.0%2,516863.4%1
Physiotherapist312196.1%00.0%2,702943.5%0
Podiatry Practitioner52713.5%00.0%814546.6%0
Psychologist361328.9%00.0%3,0591836.0%1
Total 2015/166,5474597.0%660.0%66,6983,2754.9%10
Total 2014/155,7374768.3%924.3%51,9473,1006.0%37

Note:

  1. For 2015/16, figures are reported by principal place of practice. For 2014/15, figures are reported by the state/territory location of the preferred address as advised by the applicant/registrant. Where this can’t be identified, the location of the office assessing the application is used.
  2. Criminal history checks. Refers to both domestic and international criminal history checks submitted. International criminal history checks started in 2014/15.
  3. Disclosable court outcomes.
Table 10: Cases in 2015/16 where a criminal history check resulted in, or contributed to, imposition of conditions or undertakings, by profession
ProfessionWATotal % of national total
Aboriginal and Torres Strait Islander Health Practitioner11100.0%
Chinese Medicine Practitioner000.0%
Chiropractor000.0%
Dental Practitioner010.0%
Medical Practitioner000.0%
Medical Radiation Practitioner000.0%
Midwife000.0%
Nurse5683.3%
Occupational Therapist000.0%
Optometrist000.0%
Osteopath000.0%
Pharmacist010.0%
Physiotherapist000.0%
Podiatry Practitioner000.0%
Psychologist010.0%
Total 2015/1661060.0%
Total 2014/1593724.3%

Notifications in WA

Notifications are complaints or concerns that are raised with AHPRA about registered health practitioners or students practising in Australia, excluding NSW, where complaints are handled by the Health Professional Councils Authority (HPCA), and Queensland, where complaints may be referred to AHPRA by the Office of the Health Ombudsman (OHO).

Tables 11–23 contain data relating to notifications about registered health practitioners with a principal place of practice (PPP) in WA. Some tables do not include data from the HPCA in NSW, as indicated in the table headings.

Nationally, notifications received in 2015/16 increased by 19.7% (including those managed by the HPCA). However, notifications received about practitioners with a PPP in WA decreased by 8.1%, to 718 complaints, compared with 781 in the previous year. This represents 7.1% of all notifications received nationally.

Of the new notifications received, mandatory notifications in WA decreased from 114 in 2014/15 to 100 in 2015/16; this represents 10.2% of mandatory notifications nationally in 2015/16.

The number of open notifications in WA at the end of June 2016 was 28 more than the previous year (495, compared with 467 at the end of the 2014/15 year). This represented 8.6% of open matters nationally.

The percentage of the WA registrant base with notifications received in 2015/16 was 1.2%, which was 0.3% lower than the national percentage.

A large proportion of notifications (288) were about clinical care. See Table 14.

Notifications received came largely from the patient (276), the practitioner’s employer (94) or another practitioner (76).

There were 80 cases where immediate action was initiated against practitioners in WA. In 76 of these cases the registration of the practitioner was suspended or restricted in order to protect the public. In the remaining four cases the Board determined that no further action was required1. See Table 16.

As at 30 June 2016, there were three open notifications in WA that were received before the National Law took effect in 2010. Two of these matters are awaiting a tribunal decision. See Table 17 for national data.

Tables 18–22 detail the outcomes of key stages in the notifications process during 2015/16; note the national data in these tables do not include data for NSW because complaints in that jurisdiction are managed by the HPCA.

The majority of the 867 enquiries received about WA registrants in 2015/16 were considered to meet the criteria for a notification (761) and an assessment commenced.

On completion of assessment of cases in 2015/16, 326 cases were closed and 338 cases were taken to a further stage. See Table 19.

Twelve cases were closed following a panel hearing and 36 following a tribunal hearing. See Tables 21 and 22.

In total, 654 matters were closed in WA in 2015/16. See Table 23.

Note:

  1. No further action is usually taken when, based on the available information, the Board determines there is no risk to the public that meets the threshold for regulatory action or because a practitioner has taken steps to voluntarily address issues of concern.
Table 11: Notifications received or closed in 2015/16 or remaining open at 30 June 2016, by profession
ProfessionAll received: WAAll received: National totalAll received: % of national totalMandatory received: WAMandatory received: National totalMandatory received: % of national totalClosed: WAClosed: National totalClosed: % of national totalOpen at 30 June: WAOpen at 30 June: National totalOpen at 30 June: % of national total
Aboriginal and Torres Strait Islander Health Practitioner050.0%010.0%1911.1%0 1 0.0%
Chinese Medicine Practitioner0540.0%040.0%0360.0%0 33 0.0%
Chiropractor121468.2%21020.0%101019.9%15 126 11.9%
Dental Practitioner861,0258.4%2277.4%647948.1%75 621 12.1%
Medical Practitioner3825,3717.1%3727213.6%3694,7147.8%223 2,882 7.7%
Medical Radiation Practitioner4488.3%3742.9%53813.2%1 27 3.7%
Midwife1110310.7%31618.8%128314.5%7 82 8.5%
Nurse 1301,9426.7%415197.9%1201,7626.8%78 1,226 6.4%
Occupational Therapist5598.5%020.0%5568.9%2 25 8.0%
Optometrist1392.6%010.0%2444.5%1 15 6.7%
Osteopath1234.3%010.0%1273.7%0 9 0.0%
Pharmacist285704.9%73818.4%205373.7%30 330 9.1%
Physiotherapist101029.8%1520.0%4934.3%9 67 13.4%
Podiatry Practitioner85714.0%050.0%74914.3%3 28 10.7%
Psychologist405287.6%4725.6%344847.0%51 316 16.1%
Unknown10100.0%000.0%0120.0%0 1 0.0%
Total 2015/16 (PPP)2718 10,082 7.1%100 98010.2%6548,8397.4% 495 5,789 8.6%
Total 2014/15 (PPP)2781 8,426 9.3%11483313.7%8209,0039.1% 467 4,531 10.3%
Total 2014/15 (Responsible Office)3781 8,426 9.3%11483313.7%8209,0039.1% 467 4,531 10.3%

Note:

  1. Profession of registrant is not always identifiable in the early stages of a notification.
  2. For 2015/16, notifications are based on the state or territory of the practitioner’s principal place of practice (PPP).
  3. Prior to the above, notifications were based on the location of the AHPRA state or territory office that handled the notification (Responsible Office).
Table 12. Percentage of registrant base with notifications received in 2015/16, by profession1
Profession WANational total
Aboriginal and Torres Strait Islander Health Practitioner0.0%0.9%
Chinese Medicine Practitioner0.0%1.1%
Chiropractor2.0%2.8%
Dental Practitioner3.4%4.7%
Medical Practitioner3.6%5.0%
Medical Radiation Practitioner0.3%0.3%
Midwife20.3%0.3%
Nurse30.3%0.5%
Occupational Therapist0.2%0.3%
Optometrist0.2%0.8%
Osteopath1.6%1.1%
Pharmacist0.9%1.9%
Physiotherapist0.3%0.4%
Podiatry Practitioner1.8%1.2%
Psychologist1.1%1.6%
Total 2015/16 (PPP)41.1%1.5%
Total 2014/15 (PPP)41.2%1.3%
Total 2014/15 (Responsible Office)41.2%1.3%

Note:

  1. Percentages are based on registrants whose profession and principal place of practice (PPP) have been identified.
  2. The registrant base for midwives includes registrants with midwifery or with nursing and midwifery registration.
  3. The registrant base used for nurses includes registrants with midwifery or with nursing and midwifery registration.
  4. For 2015/16, notifications are based on the practitioner’s PPP. Prior to this, notifications were based on the state or territory where the notification was handled (Responsible Office).
Table 13: Registrants involved in mandatory notifications, by jurisdiction
Jurisdiction2015/16 (PPP)1: No. practitioners32015/16 (PPP)1: Rate / 10,000 practitioners42014/15 (PPP)1: No. practitioners32014/15 (PPP)1: Rate / 10,000 practitioners42014/15 (Responsible Office)2: No. practitioners32014/15 (Responsible Office)2: Rate / 10,000 practitioners4
WA9714.410215.611016.8
Total Australia92014.078912.478912.4

Note:

  1. Principal place of practice (PPP).
  2. State or territory where the notification is handled for registrants, including those registrants who do not reside in Australia.
  3. Figures represent the number of practitioners involved in the mandatory reports received.
  4. Practitioners with no PPP are not represented in the calculation of a rate for each state, but are included in the calculation of the Total Australia rate.
Table 14: Issues in notifications received in 2015/16
Issue WANational total% of national total
Behaviour 32 374 8.6%
Billing17 178 9.6%
Boundary violation 27 344 7.8%
Clinical care288 4,208 6.8%
Communication54 668 8.1%
Confidentiality 23 248 9.3%
Conflict of interest1 20 5.0%
Discrimination0 27 0.0%
Documentation 51 436 11.7%
Health impairment 52 932 5.6%
Infection/hygiene10 87 11.5%
Informed consent9 116 7.8%
Medico-legal conduct11 146 7.5%
National Law breach27 299 9.0%
National Law offence1 277 0.4%
Offence21 329 6.4%
Offence by student0 9 0.0%
Other 21 170 12.4%
Pharmacy/medication62 1,062 5.8%
Research/teaching/assessment0 20 0.0%
Response to adverse event2 43 4.7%
Teamwork/supervision 8 65 12.3%
Not recorded1 24 4.2%
Total71810,0827.1%
Table 15: Source of notifications received in 2015/16
SourceWANational total (excluding HPCA)1% of national total (excluding HPCA)
Anonymous1611214.3%
Drugs and poisons0240.0%
Education provider1214.8%
Employer9456816.5%
Government department61553.9%
HCE4643410.6%
Health advisory service0280.0%
Hospital0710.0%
Insurance company21414.3%
Lawyer0440.0%
Member of Parliament020.0%
Member of the public273407.9%
Ombudsman0350.0%
Other Board43910.3%
Other practitioner7674110.3%
Own motion4532913.7%
Patient2762,02213.6%
Police5935.4%
Relative7159611.9%
Self101825.5%
Treating practitioner5588.6%
Unclassified3414823.0%
Total7186,05611.9%

Note:

  1. The national total excludes Health Professional Councils Authority (HPCA) data as the categorisation of ‘source’ differs between the HPCA and AHPRA.
Table 16: Immediate action cases about notifications received in 2015/16
OutcomeWANational total% of national total
Not take immediate action41392.9%
Accept undertaking116716.4%
Impose conditions6040514.8%
Accept surrender of registration0130.0%
Suspend registration31062.8%
Decision pending21910.5%
Total8074910.7%
Table 17: Notifications under previous legislation open at 30 June 2016, by profession (excluding HPCA)
Profession WA National total1 % of national total
Aboriginal and Torres Strait Islander Health Practitioner00 0.0%
Chinese Medicine Practitioner00 0.0%
Chiropractor02 0.0%
Dental Practitioner00 0.0%
Medical Practitioner27 28.6%
Medical Radiation Practitioner00 0.0%
Midwife00 0.0%
Nurse00 0.0%
Occupational Therapist00 0.0%
Optometrist00 0.0%
Osteopath00 0.0%
Pharmacist03 0.0%
Physiotherapist00 0.0%
Podiatry Practitioner00 0.0%
Psychologist12 50.0%
Total 2015/1631421.4%
Total 2014/1553813.2%

Note:

  1. Of the 14 open matters in the national total for 2015/16, 13 are lodged with a tribunal.
Table 18: Outcome of enquiries received in 2015/16 (excluding HPCA)
OutcomeWA National total % of national total
Moved to notification, complaint or offence7616,21412.2%
Closed at lodgement921,5765.8%
Yet to be determined143743.7%
Total8678,16410.6%
Table 19a: Outcome of assessments finalised in 2015/16 (excluding HPCA)
Outcome of decisions to take the notification furtherWA National total (excluding HPCA) % of national total
Health or performance assessment162955.4%
Investigation3211,97516.3%
Panel hearing1166.3%
Tribunal hearing030.0%
Total3382,28914.8%
Table 19b: Outcome of assessments finalised in 2015/16 (excluding HPCA)
Outcome of notifications closed following assessmentWA National total (excluding HPCA) % of national total
No further action2962,35812.6%
HCE to retain01090.0%
Refer all or part of the notification to another body2336.1%
Dealt with as enquiry1472.1%
Managed as a complaint by a co-regulator050.0%
Managed as an offence under Part 7 of the National Law070.0%
Caution223676.0%
Accept undertaking1462.2%
Impose conditions41642.4%
Practitioner surrenders registration020.0%
Total3263,13810.4%
Table 20a: Outcome of investigations finalised in 2015/16 (excluding HPCA)
Outcome of decisions to take the notification furtherWA National total (excluding HPCA) % of national total
Assessment1166.3%
Health or performance assessment91167.8%
Panel hearing117913.9%
Tribunal hearing3110031.0%
Total5231116.7%
Table 20b: Outcome of investigations finalised in 2015/16 (excluding HPCA)
Outcome of notifications closed following investigationWA National total (excluding HPCA) % of national total
No further action17883821.2%
HCE to retain080.0%
Refer all or part of the notification to another body0110.0%
Dealt with as enquiry010.0%
Managed as a complaint by a co-regulator050.0%
Caution4027214.7%
Accept undertaking4725.6%
Impose conditions4418923.3%
Suspend registration010.0%
Total2661,39719.0%
Table 21. Outcome of panel hearings finalised in 2015/16 (excluding HPCA)
OutcomeWA National total (excluding HPCA) % of national total
No further action53215.6%
Accept undertaking010.0%
Caution43910.3%
Reprimand1119.1%
Impose conditions1881.1%
Practitioner surrenders registration010.0%
Suspend registration11100.0%
Total121736.9%
Table 22. Outcome of tribunal hearings finalised in 2015/16 (excluding HPCA)
OutcomeWA National total (excluding HPCA) % of national total
No further action51827.8%
Caution1333.3%
Reprimand2219.5%
Fine registrant4580.0%
Accept undertaking020.0%
Impose conditions32810.7%
Practitioner surrenders registration1333.3%
Suspend registration64413.6%
Cancel registration93426.5%
Not permitted to reapply for registration for a period of 12 months1812.5%
Withdrawn4944.4%
Total3617520.6%
Table 23: Notifications closed in 2015/16, by profession and stage at closure in WA
Profession AssessmentInvestigationHealth or performance assessmentPanel hearingTribunal hearingTotal 2015/16
Aboriginal and Torres Strait Islander Health Practitioner 001001
Chinese Medicine Practitioner 000000
Chiropractor2701010
Dental Practitioner272902664
Medical Practitioner2111268420369
Medical Radiation Practitioner 030025
Midwife5700012
Nurse5056725120
Occupational Therapist 410005
Optometrist020002
Osteopath100001
Pharmacist51110320
Physiotherapist130004
Podiatry Practitioner340007
Psychologist181303034
Not identified1000000
Total 2015/16327262171236654

Note:

  1. Practitioner profession may not have been identified in notifications closed at an early stage.

Monitoring and compliance

AHPRA’s monitoring and compliance team monitors health practitioners and students with restrictions on their registration, or whose registration has been suspended or cancelled.

Monitoring ensures practitioners are complying with restrictions placed on their registration. Each case is assigned to one of five streams, where the below affects a practitioner or student’s ability or performance:

  • health: physical or mental impairment, disability, condition or disorder (including substance abuse or dependence)
  • performance: deficiencies in knowledge, skill, judgement or care
  • conduct: where they have a criminal history or have demonstrated a lesser standard of professional care than expected
  • suitability/eligibility: they do not hold an approved or equivalent qualification; lack English-language skills; do not meet the requirements for recency of practice or do not meet approved registration standards, or
  • prohibited practitioner/student: they are subject to a cancellation order, surrender of registration or change to non-practising registration or suspension.

At 30 June 2016, there were 635 cases under active compliance monitoring in WA.

WA accounted for 12.8% of all cases nationally under active monitoring. The majority of these registrants were medical practitioners (242) or nurses (154). See Tables 24 and 25.

Table 24: Active monitoring cases at 30 June 2016, by profession (excluding HPCA)
ProfessionWA National total (excluding HPCA) % of national total
Aboriginal and Torres Strait Islander Health Practitioner357347.9%
Chinese Medicine Practitioner759547.9%
Chiropractor114623.9%
Dental Practitioner1714112.1%
Medical Practitioner2421,76713.7%
Medical Radiation Practitioner81097.3%
Midwife3714425.7%
Nurse1541,27412.1%
Occupational Therapist63616.7%
Optometrist31717.6%
Osteopath090.0%
Pharmacist171789.6%
Physiotherapist86013.3%
Podiatry Practitioner0210.0%
Psychologist2213416.4%
Total6354,96312.8%
Table 25: Active monitoring cases at 30 June 2016 in WA and nationally, by stream
JurisdictionConduct1Health1Performance1Prohibited practitioner/studentSuitability/eligibility2Total 2015/16
WA42647535419635
National 2015/1637091,0006772193,1295,734
% of national total5.9%6.4%11.1%16.0%13.4%11.1%

Note:

  1. Includes cases to be transitioned from AHPRA to HPCA for Conduct, Health and Performance streams.
  2. AHPRA performs monitoring of compliance cases in ‘suitability/eligibility’ matters for NSW registrations.
  3. Includes cases monitored by the HPCA.

Statutory offence complaints

In order to protect the public, the National Law sets out the following types of statutory offences:

  • unlawful use of protected titles
  • performing restricted acts
  • holding out (unlawful claims by individuals or organisations as to registration), and
  • unlawful advertising.

These offences are prosecuted in the Magistrates’ Court (or equivalent) of the relevant state or territory, and carry penalties or fines that may be imposed on a finding of guilt.

Nationally, AHPRA received 1,348 statutory offence complaints in 2015/16 (166% more than in 2014/15). This increase was largely due to a series of complaints made by organisations about alleged advertising breaches, which made up 75% of all complaints. Of these, 57.3% were about chiropractic services, 16% were about dental services and 13.1% were about medical services.

WA received 8.3% of offence complaints nationally, with 112 new matters. Almost all related to title protection or advertising concerns. See Table 26.

Fifty-two statutory offences were closed in WA in 2015/16, which is 37.7% less than in 2014/15. AHPRA continues to work with the jurisdictions to proactively target strategies to best manage the increase in volume to ensure fast and efficient processes for the coming year.

Table 26: Offences received and closed by profession and jurisdiction1
ProfessionWA: ReceivedWA: ClosedNational Total2: ReceivedNational Total2: Closed% of National Total: Received% of National Total: Closed
Aboriginal and Torres Strait Islander Health Practitioner00000.0%0.0%
Chinese Medicine Practitioner1026123.8%0.0%
Chiropractor6526016810.8%2.9%
Dental Practitioner14161961577.1%10.2%
Medical Practitioner8142021284.0%10.9%
Medical Radiation Practitioner108712.5%0.0%
Midwife003360.0%0.0%
Nurse4554407.4%12.5%
Occupational Therapist00650.0%0.0%
Optometrist01990.0%11.1%
Osteopath0112250.0%4.0%
Pharmacist21131315.4%7.7%
Physiotherapist6566409.1%12.5%
Podiatry Practitioner53261719.2%17.6%
Psychologist6483647.2%6.3%
Unknown3001390.0%0.0%
Total 2015/16 (PPP)4112521,3486008.3%8.7%
Total 2014/15 (PPP)442835065188.3%16.0%

Note:

  1. This table captures offence complaints by principal place of practice (PPP) and includes all offences from sections 113–116 of the National Law, not only offences about advertising, title and practice protection.
  2. The national total includes offences managed about unregistered persons where there is no PPP recorded.
  3. AHPRA also receives offence complaints about unregistered persons where there is no PPP recorded. Only registered practitioners have a designated PPP.
  4. Based on state and territory of the practitioner’s principal place of practice (PPP).